Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SANFORD CLINIC

NPI: 1881610889 · SIOUX FALLS, SD 57105 · Ph.D. Medical Genetics · NPI assigned 07/14/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MORRISON, TONY controls 20+ related entities in our dataset. Read more

$5.45M
Total Medicaid Paid
69,736
Total Claims
45,375
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORRISON, TONY (VICE PRESIDENT, REVENUE CYCLE)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: MORRISON, TONY

ProviderCityStateTotal Paid
SANFORD MEDICAL CENTER FARGO FARGO ND $50.18M
SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI MN $47.45M
SANFORD BISMARCK BISMARCK ND $43.96M
SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI MN $27.11M
SANFORD MEDICAL CENTER SIOUX FALLS SD $24.40M
FM AMBULANCE SERVICE, INC FARGO ND $23.80M
SANFORD MEDICAL CENTER SIOUX FALLS SD $18.03M
SANFORD HEALTH NETWORK WORTHINGTON MN $7.58M
SANFORD CLINIC SIOUX FALLS SD $6.04M
SANFORD HEALTHCARE ACCESSORIES, LLC FARGO ND $4.79M
SANFORD HEALTH NETWORK NORTH THIEF RIVER FALLS MN $3.28M
SANFORD CLINIC SIOUX FALLS SD $2.96M
SANFORD HEALTH NETWORK JACKSON MN $2.81M
SANFORD CLINIC WATERTOWN SD $2.02M
BLACK HILLS ORTHOPEDIC & SPINE CENTER, INC. RAPID CITY SD $1.71M
SANFORD HEALTH NETWORK CHAMBERLAIN SD $1.47M
SANFORD HEALTH NETWORK VERMILLION SD $1.31M
SANFORD HEALTH NETWORK LUVERNE MN $1.27M
SANFORD MEDICAL CENTER FARGO PELICAN RAPIDS MN $1.01M
SANFORD MEDICAL CENTER FARGO MAHNOMEN MN $994K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,824 $2.32M
2019 28,986 $2.64M
2020 2,006 $83K
2021 3,606 $154K
2022 2,745 $120K
2023 1,268 $55K
2024 1,301 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99480 Subsequent intensive care, per day, low birth weight infant 4,508 549 $806K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,233 8,411 $589K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1,506 175 $588K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1,601 139 $555K
99479 Subsequent intensive care, per day, very low birth weight infant 2,756 257 $348K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,862 7,811 $335K
99232 Subsequent hospital care, per day, moderate complexity 5,236 1,190 $228K
99215 Prolong outpt/office vis 1,775 1,532 $150K
99468 185 153 $144K
99233 Prolong inpt eval add15 m 2,264 570 $134K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,546 1,475 $118K
99222 Initial hospital care, per day, moderate complexity 1,355 1,055 $113K
93325 3,315 2,631 $108K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,703 1,392 $107K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,163 924 $99K
99238 Hospital discharge day management, 30 minutes or less 1,869 1,571 $97K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,146 1,112 $97K
99244 Office or other outpatient consultation, moderate to high complexity 778 614 $86K
99254 687 406 $73K
99477 230 210 $72K
93304 1,342 949 $58K
99205 Prolong outpt/office vis 481 376 $52K
99223 Prolong inpt eval add15 m 424 315 $46K
93320 1,565 1,487 $45K
99253 542 351 $43K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,141 403 $36K
99239 Hospital discharge day management, more than 30 minutes 503 395 $33K
96409 343 230 $32K
94010 1,233 967 $28K
93321 1,613 1,174 $24K
43762 145 130 $24K
99471 48 28 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,729 1,503 $15K
43760 95 84 $15K
54150 94 82 $13K
99354 193 154 $12K
92526 208 167 $11K
93000 551 454 $11K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 831 711 $11K
J9370 Vincristine sulfate, 1 mg 363 240 $8K
94060 167 124 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44 24 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 250 214 $6K
83036 Hemoglobin; glycosylated (A1C) 579 516 $6K
96111 55 39 $5K
94664 413 331 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 412 403 $4K
90837 Psychotherapy, 53 minutes with patient 48 27 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 138 113 $3K
99217 70 43 $3K
99464 34 27 $2K
95819 25 25 $2K
36416 522 408 $2K
99417 Prolong home eval add 15m 15 14 $2K
95812 15 14 $1K
99219 20 14 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 22 18 $911.41
93227 41 26 $736.38
96375 Therapeutic injection; each additional sequential IV push 22 13 $442.42
96127 54 45 $352.67
90686 388 367 $256.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 240 193 $27.25